Individual
DR. LAURENCE FENN BOURLAND JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1623 SE ENTERPRISE CIR, HILLSBORO, OR 97123-5064
(503) 640-2614
(503) 648-2637
Mailing address
1623 SE ENTERPRISE CIR, HILLSBORO, OR 97123-5064
(503) 640-2614
(503) 648-2637
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
27 1194
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17032
STATE WORKER COMPENSATION
OR
Enumeration date
03/14/2007
Last updated
09/24/2010
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